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INSTALL_2025
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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2300 - Underground Storage Tank Program
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PR2600076
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INSTALL_2025
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Entry Properties
Last modified
2/24/2026 11:11:09 AM
Creation date
2/24/2026 11:09:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
INSTALL
FileName_PostFix
2025
RECORD_ID
PR2600076
PE
2351 - UST FACILITY - 2481 COMPLIANT
FACILITY_ID
FA0005924
FACILITY_NAME
H&M PETROLEUM CORP
STREET_NUMBER
3780
Direction
N
STREET_NAME
TRACY
STREET_TYPE
BLVD
City
TRACY
Zip
95304
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\kblackwell
Supplemental fields
Site Address
3780 100 N TRACY BLVD TRACY 95304
Suite #
100
Tags
EHD - Public
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TANK INSTALLATION CHECKLIST <br />Ir(SJl(r(INSrTANKS(S��Seitlons5and}' „y <br />TANI(#( ., <br />..SANK#2 <br />TANK# <br />s p1NK4 <br />Record tank diameter measurement #1 (before installation) <br />q <br />�p <br />1 <br />RecordfinalbackfiIIbeddingdepthundertank- inchesorcentimeters <br />rr <br />2" <br />Record final tank spacing between tanks - inchesorcentimeters <br />c <br />�' <br />RecordfinaltankspacingfromtankendcaptoexcavationwalIs- inches <br />or centimeters <br />r <br />3 <br />3 <br />If applicable,deadmenused- factory -supplied or otherP�r''"� <br />ro <br />I I� r%f <br />r c <br />Its <br />If applicable, anchoring hardware -factory -supplied or other <br />raj <br />Record diameter measurement #2 (after straps are installed) <br />liar/ <br />Ifg <br />Subtract diameter measurement#2 from #1 and record <br />t. <br />1 <br />Deflection measurement meets Table 1.6 requirements - yes or no <br />41 <br />rt <br />Voids under tank between ribs and under domes filled with backfill <br />and tamped -yes or no <br />CS <br />„ <br />Backfillplacementandcompactionmeetrequirements-yesorno^ <br />�S <br />Piping connections meet requirements -yes or no <br />dz <br />Fittings and other metal components are coated for corrosion <br />protection - yes or no <br />[CA <br />�cS <br />Record diameter measurement #3 (after backfilling to top of tank is <br />complete) <br />Subtract diameter measurement #3 from 91 and record <br />Deflection measurement meets Table 1-6requirements - yes orno <br />C' <br />Tank was ballasted prior to bringing backfill to top of tank - yesorno <br />After backfilling is brought to top of tank (See Sections 5,6 and 8) <br />Tank was baIlastedafterbringingbackfilltotopoftank-yesorno <br />Postinstallation tests were conducted for pressure -testable tanks -yes <br />or no <br />q <br />�p <br />1 <br />If applicable, optional hydrostatic test was performed -yes or no <br />O <br />C� <br />If applicable, containment sump test was successful - yesorno <br />Z <br />qC� <br />Record final depth of backfill over tank- give in inches or centimeters <br />64'I <br />�5 r <br />Record diameter measurement #4 (after backfilling is brought to <br />subgrade) <br />ro <br />I I� r%f <br />r c <br />Its <br />Subract diameter measurement #4 from #1 and record <br />Final deflection measurement meets requirements of Table 1.6 -yes <br />or no <br />If applicable, type of surface pad used- concrete or asphalt <br />�o Q <br />If applicable, thickness of surface pad used -give in inches or <br />centimeters and note which type <br />41 <br />rt <br />If applicable, record monitoring fluid level when backfilling & top slab <br />installation are complete <br />I` <br />„ <br />38 $ XERXES0 <br />
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